Kelly Nguyen
Dentist, Orthodontics and Dentofacial Orthopedics in Orange, CA. Individual provider (NPI-1).
NPI number1982180493
StatusActive
Last updated in NPPESJul 17, 2018
Details
- NPI
- 1982180493
- Entity type
- Individual (NPI-1)
- Name
- Kelly Nguyen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2018
- Last updated
- Jul 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 102371 | CA | Yes |
Practice location
17781 Santiago BlvdOrange, CA 92861-4134
Phone 714-974-9000
Mailing address
803 Polaris DrTustin, CA 92782-1721
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